Roderick Romes Jr., PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD12384 Issued in AR

Practice address

103 Gregory PL
Jacksonville, AR 72076-3211

Phone

(501) 985-0822

NPI assigned

Dec 16, 2019

Last updated

Dec 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, AR
  • NPI 1598799348
  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1396383865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 CYPRESS DR",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720769465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GREGORY PL",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763211",
            "telephone_number": "501-985-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMES",
        "first_name": "RODERICK",
        "name_suffix": "Jr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "roderick.romes@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "address_1": "103 Gregory Pl",
            "city": "Jacksonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720763211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jana H. Roddy, R.D., L.D.
• Misty Angelique Roetzel
• Deborah L Rogers, L.C.S.W.
• Eldean Rogers, RN
• Darrin Wayne Roland
• Ixtlali Romo-Gonzalez, LMSW
• Sean Michael Ronnau, LPC
• Amanda Brett Rowe, LCSW
• Jonathan Scott Russell, LMSW
• Charlotte B Rye, COTA

• Pharmacist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.